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PubMed · 2616465

School phobia.

A Kaufman
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Abstract

Refusal to attend school requires prompt action and may demand 'diplomatic' as well as clinical skills. It is important to identify the problem quickly and take decisive action, otherwise the situation may become very difficult. GPs should also be aware of factors such as learning disorders and 'misplaced sympathy'.

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Attitude of Health PersonnelChildChild BehaviorHumansLearning DisabilitiesPhobic DisordersJournal Article

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A Kaufman. 1989-09-08. School phobia.. https://pubmed.ncbi.nlm.nih.gov/2616465/

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[Sexual abuse of children: the necessity of medical intervention].

Recently the Dutch Health Council published a report on the medical aspects of sexual abuse of children. The questions underlying this report reflect an attempt to arrive at hard indices of sexual abuse in children through the assessment of physical symptoms. For the medical assessment, the authors refer to the Dutch translation of an English report entitled Physical signs of sexual abuse in children, published by The Royal College of Physicians. The hazards connected with the exclusive focus on physical symptoms are recognized, and the authors stress that medical examination should be part of a much broader assessment of the child and his/her family. However, instead of confining themselves to assessment issues of physical symptoms, the authors add a rather meagre account of behavioural and emotional factors relevant to the diagnosis of sexual abuse of children. Unfortunately, this approach seems to aggravate the problems underlying misdiagnosis rather than to increase diagnostic accuracy and improve adequate care for sexually abused children.

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